NPIMap

Organization Active NPI

Integrated Holistic Medicine

  • Acupuncturist
  • Boca Raton, FL
National Provider Identifier
1477829398
Registry record updated Mar 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3080 Issued in FL
Legal business name
INTEGRATED HOLISTIC MEDICINE
Practice address
9045 La Fontana Blvd
Suite 106
Boca Raton, FL 33434-5636
Phone
(954) 825-3670
NPI assigned
Mar 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Carlos Andres Restrepo, L.AC
Title
Acupuncturist/Manager
Phone
(954) 825-3670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X AP3080 FL Primary

Addresses

Primary practice location

9045 La Fontana Blvd
Suite 106
Boca Raton, FL 33434-5636

Mailing address

9045 La Fontana Blvd
Suite 106
Boca Raton, FL 33434-5636
Phone (954) 825-3670

National Provider Directory

National Provider Directory

Locations

9045 La Fontana Blvd
Ste 106
Boca Raton, FL 33434
Phone (954) 825-3670

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332633600000",
    "number": "1477829398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD",
            "address_2": "SUITE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "954-825-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 LA FONTANA BLVD",
            "address_2": "SUITE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345636",
            "telephone_number": "954-825-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HOLISTIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-25",
        "last_updated": "2012-03-25",
        "status": "A",
        "authorized_official_last_name": "RESTREPO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANDRES",
        "authorized_official_title_or_position": "ACUPUNCTURIST/MANAGER",
        "authorized_official_telephone_number": "954-825-3670",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.